Axl inhibition in macrophages stimulates host-versus-leukemia immunity and eradicates naïve and treatment-resistant leukemia

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Irene Tirado-Gonzalez - , Georg-Speyer-Haus (Author)
  • Arnaud Descot - , Georg-Speyer-Haus (Author)
  • Devona Soetopo - , Georg-Speyer-Haus (Author)
  • Aleksandra Nevmerzhitskaya - , Georg-Speyer-Haus (Author)
  • Alexander Schäffer - , Georg-Speyer-Haus (Author)
  • Ivan Maximilano Kur - , Georg-Speyer-Haus (Author)
  • Ewelina Czlonka - , Georg-Speyer-Haus (Author)
  • Carolin Wachtel - , Georg-Speyer-Haus (Author)
  • Ioanna Tsoukala - , Georg-Speyer-Haus (Author)
  • Luise Müller - , Institute for Immunology, University Medicine (Faculty of Medicine and University Hospital), Chair of Legal and Constitutional Studies with interdisciplinary Relations (Author)
  • Anna Lena Schäfer - , Georg-Speyer-Haus (Author)
  • Maresa Weitmann - , Georg-Speyer-Haus (Author)
  • Petra Dinse - , Georg-Speyer-Haus (Author)
  • Emily Alberto - , Yale University (Author)
  • Michèle C. Buck - , Technical University of Munich (Author)
  • Jonathan Jm Landry - , European Molecular Biology Laboratory (EMBL) Heidelberg (Author)
  • Bianka Baying - , European Molecular Biology Laboratory (EMBL) Heidelberg (Author)
  • Julia Slotta-Huspenina - , Technical University of Munich (Author)
  • Jenny Roesler - , University Hospital Frankfurt (Author)
  • Patrick N. Harter - , University Hospital Frankfurt, German Cancer Research Center (DKFZ) (Author)
  • Anne Sophie Kubasch - , Leipzig University (Author)
  • Jörn Meinel - , TUD Dresden University of Technology (Author)
  • Eiman Elwakeel - , University Hospital Frankfurt (Author)
  • Elisabeth Strack - , University Hospital Frankfurt (Author)
  • Christine Tran Quang - , Université PSL, Université Paris-Saclay (Author)
  • Omar Abdel-Wahab - , Memorial Sloan-Kettering Cancer Center (Author)
  • Marc Schmitz - , Institute for Immunology, University Medicine (Faculty of Medicine and University Hospital), National Center for Tumor Diseases Dresden, German Cancer Research Center (DKFZ) (Author)
  • Andreas Weigert - , German Cancer Research Center (DKFZ), University Hospital Frankfurt (Author)
  • Tobias Schmid - , University Hospital Frankfurt (Author)
  • Uwe Platzbecker - , German Cancer Research Center (DKFZ), Leipzig University, TUD Dresden University of Technology (Author)
  • Vladimir Benes - , European Molecular Biology Laboratory (EMBL) Heidelberg (Author)
  • Jacques Ghysdael - , Université PSL, Université Paris-Saclay (Author)
  • Halvard Bonig - , University Hospital Frankfurt (Author)
  • Katharina S. Götze - , Technical University of Munich, European Molecular Biology Laboratory (EMBL) Heidelberg (Author)
  • Carla V. Rothlin - , Yale University (Author)
  • Sourav Ghosh - , Yale University (Author)
  • Hind Medyouf - , Georg-Speyer-Haus, University Hospital Frankfurt, German Cancer Research Center (DKFZ) (Author)

Abstract

Acute leukemias are systemic malignancies associated with a dire outcome. Because of low immunogenicity, leukemias display a remarkable ability to evade immune control and are often resistant to checkpoint blockade. Here, we discover that leukemia cells actively establish a suppressive environment to prevent immune attacks by co-opting a signaling axis that skews macrophages toward a tumor-promoting tissue repair phenotype, namely the GAS6/AXL axis. Using aggressive leukemia models, we demonstrate that ablation of the AXL receptor specifically in macrophages, or its ligand GAS6 in the environment, stimulates antileukemic immunity and elicits effective and lasting natural killer cell– and T cell–dependent immune response against naïve and treatment-resistant leukemia. Remarkably, AXL deficiency in macrophages also enables PD-1 checkpoint blockade in PD-1–refractory leukemias. Finally, we provide proof-of-concept that a clinical-grade AXL inhibitor can be used in combination with standard-of-care therapy to cure established leukemia, regardless of AXL expression in malignant cells.

Details

Original languageEnglish
Pages (from-to)2924-2943
Number of pages20
JournalCancer discovery
Volume11
Issue number11
Publication statusPublished - Nov 2021
Peer-reviewedYes

External IDs

PubMed 34103328

Keywords

ASJC Scopus subject areas